Beginning on April 1, 1998, OHIP will pay for one periodic eye examination per patient, once every two years for people aged 20 to 64, and annually for those under age 20 and age 65 and older. This applies whether an optometrist or physician performs the periodic eye examination.

For adults between the age of 20 and 64, an additional periodic eye examination is covered after one year if disease or trauma has caused significant change in vision.

All medically necessary eye examinations continue to be insured regardless of age or frequency. For example, treatments for infection, disease and injury are not affected by this change

What is changing?

Beginning April 1, 1998, your optometrist or physician will be able to obtain information from the Ministry of Health on the date of your

What is not covered?

Patients who wish periodic eye examinations which are not eligible for OHIP coverage will be billed directly by the optometrist or physician. Additional fees may apply for other uninsured services, such as contact lens assessments.

In some cases, third party coverage from private insurance companies may repay the patient or pay for the services directly. Health care providers can identify the services that will not be paid by OHIP.

Why?

Medical experts advise that the recommended frequency of eye examinations depends upon the patient’s risk for vision and eye health problems.